IndividualActive
Holly Wortley
NPI 1720732308 · Primary Care Nurse Practitioner · Bountiful, UT
Provider details
- NPI number
- 1720732308
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8297985-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Phone: (801) 292-1422
Approximate (ZIP-level) locationGet directions
Mailing address
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Registry dates
- Enumerated
- 2022-02-11
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.